Blake, Latoria

Blake, Latoria is an individual health care provider with primary practice located at 675 N Matthews Rd , Lake City SC 29560-7027. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Blake, Latoria can be contacted via phone (843) 394-7600.

Contact Information

Primary practice address
675 N Matthews Rd Lake City SC 29560-7027
Phone: (843) 394-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1285147124
LBN Legal business name Blake, Latoria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2017
Last updated Nov 14th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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